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Name the condition described by each of the following statements:

36.1 The fetus dies, and all the fluids are reabsorbed, with the hard and dry parts remaining in the uterus.

36.2 The fetus dies, and the soft tissue decays, with everything remaining in the uterus.

36.3 Pregnancy is terminated before the normal time of parturition, and the dead fetus is expelled.

Answer :

This question pertains to different types of fetal death conditions in medicine, specifically those related to pregnancy and parturition.

36.1 Maceration: This condition occurs when the fetus dies in utero, and the amniotic fluid is reabsorbed over time while the fetus is retained. The remaining parts become hard and dry. Maceration typically happens after the fetal skin has started to peel away, occurring when fetal death is not immediately followed by delivery.

36.2 Mummification: In this condition, the fetus dies, but the bacterial ecosystem in the uterus restrains the soft tissue decay to a minimal level. As a result, the fetus becomes dry and shriveled – a process known as mummification. The uterus may hold onto the mummified fetus, which can remain in the uterus for some time.

36.3 Abortion or Miscarriage: This is when pregnancy ends spontaneously before the fetus can survive outside the uterus, commonly before 20 weeks of gestation. In this case, the dead fetus is expelled from the uterus. This is a form of early pregnancy loss and is referred to as a miscarriage in everyday language.

Each condition involves complexities regarding how and why they occur and the implications for healthcare providers to manage them effectively for the health and safety of the patient.

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